老年急性胰腺炎的临床特征及CT影像分析  

Clinical Features and CT Imaging Analysis of Acute Pancreatitis in Elderly Patients

作　　者：贾坤 李彰 王垚明 陈临 Jia Kun;Li Zhang;Wang Yaoming;Chen Lin(Department of Imaging,Chengdu Jinniu District People’s Hospital,Chengdu,Sichuan 610000)

机构地区：[1]成都市金牛区人民医院影像科,四川成都610000

出　　处：《现代医用影像学》2022年第10期1802-1806,共5页Modern Medical Imageology

基　　金：成都市金牛区医学会科研项目(编号:JNKY2021-31)。

摘　　要：目的:探讨老年急性胰腺炎(acute pancreatitis,AP)的临床特征及其CT影像表现。方法:回顾性分析2021年1月至12月我院收治老年急性胰腺炎患者的临床及影像学资料,并与同期非老年组进行统计学差异分析。结果:(1)老年AP患者以女性为主,男女比约1:3,少数患者以非腹痛症状就诊;(2)老年AP主要致病原因依次是胆源性疾病、高脂血症及特发性,并与非老年组之间存在统计学差异;(3)老年组与非老年组在CT影像表现方面不具有统计学差异。结论:老年女性AP发病率明显高于男性,主要病因是胆源性疾病及高脂血症,临床症状可不典型。Objective:To explore the clinical features and CT imaging manifestations of elderly acute pancreatitis.Methods:The clinical and imaging data of elderly patients in our hospital from January 2021 to December 2021 were analyzed retrospectively,and the statistical differences were compared with those of the non-elderly group in the same period.Results:(1) The majority of elderly AP patients were female,and the ratio of male to female was about 1:3.A few patients attended the hospital with non-abdominal pain symptoms.(2)AP in elderly group were caused by biliary disease,hyperlipidemia and idiopathic,and there were statistical differences between elderly and non-elderly group.(3) There was no significant difference between elderly and non-elderly AP in imaging.Conclusion:Women was more common than men in elderly AP.Biliary diseases and hyperlipidemia are the main causes.The clinical symptoms were not typical.

关 键 词：急性胰腺炎 老年性 临床特征 CT 

分 类 号：R576[医药卫生—消化系统] R816.5[医药卫生—内科学]